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Serum Osmolality: Uses and Limitations
Abstract
The serum osmolality measurement has a clearly circumscribed use in clinical medicine. Comparison of the measured osmolality with the osmolality calculated from the concentrations of the major solutes in serum gives information about large deviations in the serum water content. In addition, comparison of the measured and calculated values of osmolality provides rapid screening information about the presence of foreign low-molecular-weight solutes in the blood. Taken at face value, the test cannot be used to determine whether abnormalities in tonicity homeostasis are present. A simple and direct way to assess whether tonicity is normal is to calculate the effective osmolality from the concentrations of sodium and glucose in serum. With rare exceptions, this calculation provides the information needed to make decisions about therapy.
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Dorwart, W. V., & Chalmers, L. (1975) · Clinical Chemistry · doi:10.1093/clinchem/21.2.190 · Cited by 184
Cited by
Biological variation and diagnostic accuracy of dehydration assessment markers
Cheuvront, S. N., Ely, B. R., Kenefick, R. W., & Sawka, M. N. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29490 · Cited by 367
Body Fluid Dynamics: Back to the Future
Bhave, G., & Neilson, E. G. (2011) · Journal of the American Society of Nephrology · doi:10.1681/asn.2011080865 · Cited by 215
Plasma Hypertonicity: Another Marker of Frailty?
Stookey, J. D., Purser, J. L., Pieper, C. F., & Cohen, H. J. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52361.x · Cited by 80
Validation of equations used to predict plasma osmolality in a healthy adult cohort
Heavens, K. R., Kenefick, R. W., Caruso, E. M., Spitz, M. G., & Cheuvront, S. N. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.091009 · Cited by 60
Metadata
- Authors
- Gennari, F. J.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1984-01-12
- Volume
- 310
- Issue
- 2
- Pages
- 102-105
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2076048951
- Cited by
- 279
- References
- 1
- FWCI
- 9.87
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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